Guideline for approaching the differential diagnosis of pulmonary hypertension. CHD, congenital heart disease; CO, cardiac output; CT, contrast-enhanced.

Slides:



Advertisements
Similar presentations
RYAN O’GOWAN, MBA, PA-C FAPACVS FCCM Pulmonary Hypertension.
Advertisements

Pulmonary Hypertension: Management Update
CO - RELATION WITH ECG INTRA CARDIAC PRESSURES ASHOK MADRAS MEDICAL MISSION CHENNAI
Pulmonary Hypertension and Various Treatment Options
VASCULAR COMPLICATIONS OF SYSTEMIC SCLEROSIS Early Diagnosis of PAH in Systemic Sclerosis: How Do We Recognize the Warning Signs? Joseph C. Shanahan, MD.
Clinical Features and Ultrasound Parameters in Pulmonary Arterial Hypertension, in Pediatric Cardiology Author: Gáspár Hanga 1 Scientific coordinators:
Picture of my family – love to start talks in the comfort of my living room. Feel passionate about my girls and about this unique population of patients.
SPM 200 Clinical Skills Lab 1
Date of download: 7/2/2016 Copyright © The American College of Cardiology. All rights reserved. From: Prognostic Value of RV Function Before and After.
Date of download: 7/7/2016 Copyright © The American College of Cardiology. All rights reserved. From: ACC/AHA guidelines for the management of patients.
순환기 내과 R3 임규성 Pulmonary Arterial Hypertension Associated with Congenital Heart Disease.
Date of download: 7/9/2016 Copyright © The American College of Cardiology. All rights reserved. From: Pulmonary Arterial Hypertension J Am Coll Cardiol.
A. Method of checking patency of palmar arch, the modified Allen Test
Two-dimensional echocardiogram from a patient with severe hypertrophic cardiomyopathy. There is a severe increase in left ventricular wall thickness, with.
Subgroup analyses for mortality after treatment with coronary artery bypass graft (CABG) or percutaneous coronary intervention (PCI). LAD, left anterior.
Management of mitral regurgitation. See legend for Fig
(Copied with permission from: Latson, L. A. , & Prieto, L. R. (2007)
Total anomalous pulmonary venous connection above the diaphragm
Hemodynamic classification of pulmonary hypertension (PH)
Measurement of right ventricular outflow tract (RVOT) acceleration time, the time between the onset of flow and peak flow velocity. Acceleration time is.
Ellis-van Creveld syndrome. Polydactyly
Illustration of a 36-year-old woman with dextrocardia, a ventricular septal defect (VSD), double-outlet right ventricle, and pulmonary atresia. At 13 years.
From: Diagnosis of Stable Ischemic Heart Disease: Summary of a Clinical Practice Guideline From the American College of Physicians/American College of.
Different types of bariatric surgery
D-dimer and helical CT-PA based diagnostic algorithm for PE
Impact of hospital volume and surgeon volume on the feasibility of mitral valve repair. A. Reproduced with permission from Operative outcomes in mitral.
Influence of heart rate (diastolic period) on mitral valve gradient
Normal physiology (control) is compared to that of acute mitral regurgitation (chordal rupture), compensated mitral regurgitation, and decompensated chronic.
Echocardiographic modalities for evaluation and risk stratification of heart failure patients. 3D indicates 3-dimensional; EF, ejection fraction; LA, left.
Basic elements of renal-body fluid feedback mechanism for long-term regulation of blood pressure. A key component of this feedback is the effect of arterial.
Simultaneous phonocardiograms are recorded with the mitral valve echocardiograms in three patients: mitral stenosis (MS) (left), left atrial myxoma (center),
A. Parasternal long-axis plane through the mitral valve in late systole. The plane of the mitral annulus is drawn in a dotted line. The mitral valve leaflets.
REVEAL Registry PAH Risk Score Calculator
The left panel shows a schematized left ventricular (LV) pressure–volume loop from a patient with primary systolic failure. A normal LV pressure–volume.
Adapted with permission from Hiatt WR
Posteroanterior chest x-ray film in a man with acute pulmonary edema resulting from left ventricular failure. Note the bat’s wing density, cardiac enlargement,
Computed tomography (CT) scan of CC-TGA. A
Chest radiograph cardiac enlargement, with prominence of the pulmonary artery, right atrium, and right ventricle, in a patient with primary pulmonary hypertension.
A. Parasternal views during diastole (left) and systole (right) from a normal individual. Upper panels: long-axis plane; lower panels: short-axis plane.
Sinus venosus atrial septal defect (ASD) and partial anomalous pulmonary venous return. Transverse axial images from a cardiac computed tomography angiogram.
Rapid firing in a pulmonary vein (PV) with the spontaneous onset of atrial fibrillation (AFib). Two sinus beats are followed by a premature atrial complex.
A 68-year-old man with history of hypertension and coronary artery disease (coronary artery bypass graft surgery in the past) with no follow-up in the.
Ankit Maheshwari, MD, Robert J. Bache, MD 
Meghan E. Sise, Andrew M. Courtwright, Richard N. Channick 
by Victor R. Gordeuk, Oswaldo L. Castro, and Roberto F. Machado
Physiological changes in pulmonary arterial hypertension (PAH) patients which occur in response to pregnancy. Physiological changes in pulmonary arterial.
A Diagnosis at Hand: Pulmonary Arterial Hypertension
ECG: electrocardiogram; PFT: pulmonary function testing; Dlco: diffusion capacity of the lung for carbon monoxide; BGA: blood gas analysis; HRCT: high-resolution.
Aortic Stenosis in Pregnancy: A Case Report
Diagnostic algorithm for pulmonary arterial hypertension (PAH).
Volume 126, Issue 1, Pages 14S-34S (July 2004)
Diagnostic algorithm. Diagnostic algorithm. PH: pulmonary hypertension; group: clinical group; TTE: transthoracic echocardiography; PFT: pulmonary function.
Algorithm for the diagnosis and treatment of portopulmonary hypertension (POPH). Algorithm for the diagnosis and treatment of portopulmonary hypertension.
REVEAL pulmonary arterial hypertension (PAH) risk score.
Inclusion characteristics of a) previously diagnosed and b) newly diagnosed pulmonary arterial hypertension (PAH) patients enrolled in REVEAL. PVR: pulmonary.
Pulmonary hypertension associated with left heart disease: Updated Recommendations of the Cologne Consensus Conference 2018  Stephan Rosenkranz, Irene.
An algorithm for the early diagnosis of pulmonary arterial hypertension in systemic sclerosis. An algorithm for the early diagnosis of pulmonary arterial.
An expert proposal for a treat-to-target checklist for pulmonary arterial hypertension (PAH). An expert proposal for a treat-to-target checklist for pulmonary.
Bronchogenic cyst of the atrioventricular septum presenting with ventricular fibrillation  Shinya Shiohira, MD, Takeshi Sasaki, MD, Shingo Maeda, MD, Mihoko.
Micha T. Maeder, MD, PhD, Niklas F. Ehl, MD 
Simplified REVEAL (Registry to Evaluate Early And Long-term PAH Disease Management) risk score. Simplified REVEAL (Registry to Evaluate Early And Long-term.
Proposed screening algorithm for identification of pulmonary arterial hypertension (PAH) associated with connective tissue disease. Proposed screening.
Right ventricular (RV) pressure–volume loops at decreasing venous return in a patient with a) systemic sclerosis-associated pulmonary arterial hypertension.
Conceptual model of the ageing Fontan circulation
Gregory Piazza et al. JCIN 2015;8:
A) Pulmonary arterial hypertension (PAH) aetiological breakdown of REVEAL patients at enrolment. b) Breakdown of associated PAH subgroup. a) Pulmonary.
A–c) Chest computed tomography excluding acute lung embolism and parenchymal lung disease and d–g) echocardiography performed during diagnostic work-up.
Module 2: evaluation of the REVEAL risk score in the FPHN validation cohort. Module 2: evaluation of the REVEAL risk score in the FPHN validation cohort.
Schematic drawing of PAH crisis and contributing factors.
(A) The normal cardiovascular circulation.
Presentation transcript:

Guideline for approaching the differential diagnosis of pulmonary hypertension. CHD, congenital heart disease; CO, cardiac output; CT, contrast-enhanced computed tomography of the chest; CTD, connective tissue disease; ECG, electrocardiogram; Echo, transthoracic Doppler echocardiogram; IPAH, idiopathic pulmonary arterial hypertension; FPAH, familial pulmonary arterial hypertension; LA, left atrial; LV, left ventricular; MRI, magnetic resonance imaging; PA, pulmonary arterial; PAH, pulmonary arterial hypertension; PCWP, pulmonary capillary wedge pressure; PE, pulmonary embolism; PFTs, pulmonary function tests; PH, pulmonary hypertension; PVR, pulmonary vascular resistance; RA, right atrial; RAE, right atrial enlargement; RV, right ventricular; RVE, right ventricular enlargement; RVST, right ventricular systolic pressure; SLE, systemic lupus erythematosus; SvO2, mixed venous oxygen saturation; TRV, tricuspid regurgitant velocity; V/Q, ventilation/perfusion. Adapted with permission from Rubin LJ, Badesch DB. Evaluation and management of the patient with pulmonary arterial hypertension. Ann Intern Med. 2005 Aug 16;143(4):282-292. Source: PULMONARY HYPERTENSION, Hurst's The Heart, 14e Citation: Fuster V, Harrington RA, Narula J, Eapen ZJ. Hurst's The Heart, 14e; 2017 Available at: http://accesscardiology.mhmedical.com/DownloadImage.aspx?image=/data/books/2046/hurst14_ch74_f009.png&sec=176562664&BookID=2046&ChapterSecID=176562507&imagename= Accessed: January 13, 2018 Copyright © 2018 McGraw-Hill Education. All rights reserved